
			
			<div class="container">
				<div class="payment_status-form">
				<div class="page-header" style="position:relative;">
					<h3>Add Payment Status </h3>
				</div>
					<?php echo form_open('payment_status/add','class ="form-horizontal" ', 'id = "payment_status-form"'); ?>
    					<div class="control-group">
							<label class="control-label" for="name">Payment Status Name<span style="color: red;">*</span></label>
							<div class="controls">
								<input type="text" name="name" id="name" value="<?php echo set_value('name'); ?>"/>
                                <label class="error"><?php echo form_error('name'); ?></label>
							</div>
						</div>
						<hr>
						<div class="control-group">
							<label class="control-label" for="description">Description</label>
							<div class="controls">
								<textarea name="description"><?php echo set_value('description'); ?></textarea>
                                <label class="error"><?php echo form_error('description'); ?></label>
							</div>
						</div>
                       
                        <div class="form-actions">
 							<input class="btn btn-primary" id="submit" type="submit" value="Save Payment Status" />
							<input class="btn" id="cancel" type="button" name="cancel" value="Cancel" onclick="self.history.back()" />    
                        </div>
					<?php echo form_close(); ?>
				</div>
			</div>

